{"id":9541,"date":"2024-01-17T16:21:18","date_gmt":"2024-01-17T15:21:18","guid":{"rendered":"http:\/\/wp.kinderarztpraxis-lechhausen.de\/?page_id=9541"},"modified":"2025-05-27T12:26:26","modified_gmt":"2025-05-27T10:26:26","slug":"neuanmeldung","status":"publish","type":"page","link":"https:\/\/www.kinderarztpraxis-lechhausen.de\/?page_id=9541","title":{"rendered":"Neuaufnahme"},"content":{"rendered":"<div class=\"et_d4_element et_pb_section et_pb_section_0  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_d4_element et_pb_row et_pb_row_0 et_pb_equal_columns  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_0  et_pb_css_mix_blend_mode et-last-child et_block_column\" id=\"content-vertical-align-bottom\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_0 content-vertical-align-bottom  et_pb_text_align_center et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><h2>Neuaufnahme<\/h2><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_row et_pb_row_1  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_1_5 et_pb_column et_pb_column_1  et_pb_css_mix_blend_mode et_block_column et_pb_column_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_column_3_5 et_pb_column et_pb_column_2  et_pb_css_mix_blend_mode et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_1  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><p>Sehr geehrte Eltern, vielen Dank f\u00fcr Ihrer Anfrage. Um die Neuaufnahme in unserer Praxis zu erleichtern, bitten wir Sie, dieses Formular vollst\u00e4ndig auszuf\u00fcllen. Zur Sicherung einer optimalen Patientenversorgung sind unsere Aufnahme-Kapazit\u00e4ten begrenzt. Sollten Sie innerhalb der kommenden sieben Tage keine R\u00fcckmeldung von uns erhalten, k\u00f6nnen wir Sie aktuell nicht aufnehmen.<\/p><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_d4_element et_pb_column_1_5 et_pb_column et_pb_column_3  et_pb_css_mix_blend_mode et-last-child et_block_column et_pb_column_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_row et_pb_row_2  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_4  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<div id=\"et_pb_contact_form_0\" class=\"et_pb_module et_d4_element et_pb_contact_form_0 et_pb_contact_form_container clearfix et_block_module\" data-form_unique_num=\"0\" data-form_unique_id=\"Neuaufnahme\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<h1 class=\"et_pb_contact_main_title\">Neuaufnahme<\/h1>\n\t\t\t\t<div class=\"et-pb-contact-message\"><\/div>\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_contact\">\n\t\t\t\t\t<form class=\"et_pb_contact_form clearfix\" method=\"post\" action=\"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F9541\">\n\t\t\t\t\t\t<p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_last\" data-id=\"ihr_name\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_ihr_name_0\" class=\"et_pb_contact_form_label\">Name<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_ihr_name_0\" class=\"input\" value=\"\" name=\"et_pb_contact_ihr_name_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"ihr_name\" placeholder=\"Name\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_last\" data-id=\"email\" data-type=\"email\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_email_0\" class=\"et_pb_contact_form_label\">E-Mail-Adresse<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_email_0\" class=\"input\" value=\"\" name=\"et_pb_contact_email_0\" data-required_mark=\"required\" data-field_type=\"email\" data-original_id=\"email\" placeholder=\"E-Mail-Adresse\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_2 et_pb_contact_field_last\" data-id=\"strasse\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_strasse_0\" class=\"et_pb_contact_form_label\">Strasse<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_strasse_0\" class=\"input\" value=\"\" name=\"et_pb_contact_strasse_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"strasse\" placeholder=\"Strasse\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_3 et_pb_contact_field_half\" data-id=\"plz\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_plz_0\" class=\"et_pb_contact_form_label\">PLZ<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_plz_0\" class=\"input\" value=\"\" name=\"et_pb_contact_plz_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"plz\" placeholder=\"PLZ\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_4 et_pb_contact_field_half et_pb_contact_field_last\" data-id=\"stadt\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_stadt_0\" class=\"et_pb_contact_form_label\">Stadt<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_stadt_0\" class=\"input\" value=\"\" name=\"et_pb_contact_stadt_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"stadt\" placeholder=\"Stadt\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_5 et_pb_contact_field_half\" data-id=\"ihr_telefonnummer\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_ihr_telefonnummer_0\" class=\"et_pb_contact_form_label\">Telefonnummer<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_ihr_telefonnummer_0\" class=\"input\" value=\"\" name=\"et_pb_contact_ihr_telefonnummer_0\" data-required_mark=\"not_required\" data-field_type=\"input\" data-original_id=\"ihr_telefonnummer\" placeholder=\"Telefonnummer\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_6 et_pb_contact_field_half et_pb_contact_field_last\" data-id=\"handy\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_handy_0\" class=\"et_pb_contact_form_label\">Ihre Handynummer<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_handy_0\" class=\"input\" value=\"\" name=\"et_pb_contact_handy_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"handy\" placeholder=\"Ihre Handynummer\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_7 et_pb_contact_field_half\" data-id=\"vorname_kindes\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_vorname_kindes_0\" class=\"et_pb_contact_form_label\">Vorname des Kindes (falls vorhanden)<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_vorname_kindes_0\" class=\"input\" value=\"\" name=\"et_pb_contact_vorname_kindes_0\" data-required_mark=\"not_required\" data-field_type=\"input\" data-original_id=\"vorname_kindes\" placeholder=\"Vorname des Kindes (falls vorhanden)\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_8 et_pb_contact_field_half et_pb_contact_field_last\" data-id=\"geburtsdatum\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_geburtsdatum_0\" class=\"et_pb_contact_form_label\">Geburtsdatum des Kindes (YYYY-MM-TT)<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_geburtsdatum_0\" class=\"input\" value=\"\" name=\"et_pb_contact_geburtsdatum_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"geburtsdatum\" placeholder=\"Geburtsdatum des Kindes (YYYY-MM-TT)\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_9 et_pb_contact_field_half\" data-id=\"geschwisterkinder\" data-type=\"select\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_geschwisterkinder_0\" class=\"et_pb_contact_form_label\">Geschwisterkinder<\/label>\n\t\t\t\t<select id=\"et_pb_contact_geschwisterkinder_0\" class=\"et_pb_contact_select input\" name=\"et_pb_contact_geschwisterkinder_0\" data-required_mark=\"required\" data-field_type=\"select\" data-original_id=\"geschwisterkinder\">\n\t\t\t\t\t\t<option value=\"\">Geschwisterkinder<\/option><option value=\"nein\">nein<\/option><option value=\"ja\">ja<\/option>\n\t\t\t\t\t<\/select>\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_10 et_pb_contact_field_half et_pb_contact_field_last\" data-conditional-logic=\"[[&quot;geschwisterkinder&quot;,&quot;contains&quot;,&quot;ja&quot;]]\" data-conditional-relation=\"any\" data-id=\"geschwisterkinder_2\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_geschwisterkinder_2_0\" class=\"et_pb_contact_form_label\">bei Geschwisterkinder bisheriger Kinderarzt<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_geschwisterkinder_2_0\" class=\"input\" value=\"\" name=\"et_pb_contact_geschwisterkinder_2_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"geschwisterkinder_2\" placeholder=\"bei Geschwisterkinder bisheriger Kinderarzt\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_11 et_pb_contact_field_half\" data-id=\"grund\" data-type=\"select\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_grund_0\" class=\"et_pb_contact_form_label\">Grund der Aufnahme<\/label>\n\t\t\t\t<select id=\"et_pb_contact_grund_0\" class=\"et_pb_contact_select input\" name=\"et_pb_contact_grund_0\" data-required_mark=\"required\" data-field_type=\"select\" data-original_id=\"grund\">\n\t\t\t\t\t\t<option value=\"\">Grund der Aufnahme<\/option><option value=\"Fr\u00fchgeborenes\">Fr\u00fchgeborenes<\/option><option value=\"Umzug\">Umzug<\/option><option value=\"Neugeborenes\">Neugeborenes<\/option><option value=\"Zweitmeinung\">Zweitmeinung<\/option><option value=\"Arztwechsel\">Arztwechsel<\/option><option value=\"sonstiges\">sonstiges<\/option>\n\t\t\t\t\t<\/select>\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_12 et_pb_contact_field_half et_pb_contact_field_last\" data-id=\"ka_bisher\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_ka_bisher_0\" class=\"et_pb_contact_form_label\">Bisheriger Kinderarzt oder kein Kinderarzt<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_ka_bisher_0\" class=\"input\" value=\"\" name=\"et_pb_contact_ka_bisher_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"ka_bisher\" placeholder=\"Bisheriger Kinderarzt oder kein Kinderarzt\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_13 et_pb_contact_field_half\" data-id=\"krankenkasse_kind\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_krankenkasse_kind_0\" class=\"et_pb_contact_form_label\">Krankenkasse des Kindes<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_krankenkasse_kind_0\" class=\"input\" value=\"\" name=\"et_pb_contact_krankenkasse_kind_0\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"krankenkasse_kind\" placeholder=\"Krankenkasse des Kindes\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_14 et_pb_contact_field_half et_pb_contact_field_last\" data-id=\"empfohlen\" data-type=\"input\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_empfohlen_0\" class=\"et_pb_contact_form_label\">Empfohlen durch<\/label>\n\t\t\t\t<input type=\"text\" id=\"et_pb_contact_empfohlen_0\" class=\"input\" value=\"\" name=\"et_pb_contact_empfohlen_0\" data-required_mark=\"not_required\" data-field_type=\"input\" data-original_id=\"empfohlen\" placeholder=\"Empfohlen durch\">\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_15 et_pb_contact_field_last\" data-id=\"message\" data-type=\"text\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_message_0\" class=\"et_pb_contact_form_label\">Ihre Nachricht<\/label>\n\t\t\t\t<textarea name=\"et_pb_contact_message_0\" id=\"et_pb_contact_message_0\" class=\"et_pb_contact_message input\" data-required_mark=\"required\" data-field_type=\"text\" data-original_id=\"message\" placeholder=\"Ihre Nachricht\"><\/textarea>\n\t\t\t<\/p><p class=\"et_d4_element et_pb_contact_field et_pb_contact_field_16 et_pb_contact_field_last\" data-id=\"field_13\" data-type=\"checkbox\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<label for=\"et_pb_contact_field_13_0\" class=\"et_pb_contact_form_label\">Datenschutzerkl\u00e4rung<\/label>\n\t\t\t\t<input class=\"et_pb_checkbox_handle\" type=\"hidden\" name=\"et_pb_contact_field_13_0\" data-required_mark=\"required\" data-field_type=\"checkbox\" data-original_id=\"field_13\">\n\t\t\t\t\t<span class=\"et_pb_contact_field_options_wrapper\">\n\t\t\t\t\t\t<span class=\"et_pb_contact_field_options_title\">Datenschutzerkl\u00e4rung<\/span>\n\t\t\t\t\t\t<span class=\"et_pb_contact_field_options_list\"><span class=\"et_pb_contact_field_checkbox\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_field_13_16_0\" class=\"input\" value=\"Mit dem Best\u00e4tigen erkl\u00e4ren Sie, dass Sie unsere Datenschutzerkl\u00e4rung gelesen haben!\" data-id=\"-1\">\n\t\t\t\t\t\t\t<label for=\"et_pb_contact_field_13_16_0\"><i><\/i>Mit dem Best\u00e4tigen erkl\u00e4ren Sie, dass Sie unsere Datenschutzerkl\u00e4rung gelesen haben! <a href=\"https:\/\/www.kinderarztpraxis-lechhausen.de\/?page_id=3(\u00f6ffnet%20in%20neuem%20Tab)\" target=\"_blank\"><\/a><\/label>\n\t\t\t\t\t\t<\/span><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t<\/p>\n\t\t\t\t\t\t<input type=\"hidden\" value=\"et_contact_proccess\" name=\"et_pb_contactform_submit_0\"\/>\n\t\t\t\t\t\t<div class=\"et_contact_bottom_container\">\n\t\t\t\t\t\t\t\n\t\t\t<div class=\"et_pb_contact_right et_pb_contact_field\">\n\t\t\t\t<p class=\"clearfix\">\n\t\t\t\t\t<span class=\"et_pb_contact_captcha_question\">9 + 11<\/span> = <input type=\"text\" size=\"2\" class=\"input et_pb_contact_captcha\" data-first_digit=\"9\" data-second_digit=\"11\" value=\"\" name=\"et_pb_contact_captcha_0\" data-required_mark=\"required\" autocomplete=\"off\">\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<button type=\"submit\" name=\"et_builder_submit_button\" class=\"et_pb_contact_submit et_pb_button\">Absenden<\/button>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"_wpnonce-et-pb-contact-form-submitted-0\" name=\"_wpnonce-et-pb-contact-form-submitted-0\" value=\"63d6834290\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F9541\" \/>\n\t\t\t\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-9541","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=\/wp\/v2\/pages\/9541","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9541"}],"version-history":[{"count":20,"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=\/wp\/v2\/pages\/9541\/revisions"}],"predecessor-version":[{"id":11264,"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=\/wp\/v2\/pages\/9541\/revisions\/11264"}],"wp:attachment":[{"href":"https:\/\/www.kinderarztpraxis-lechhausen.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}